Provider Demographics
NPI:1346397080
Name:WILLIAMSON, DENNIS WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:WAYNE
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-4912
Mailing Address - Country:US
Mailing Address - Phone:972-270-5333
Mailing Address - Fax:972-270-5335
Practice Address - Street 1:4702 NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4912
Practice Address - Country:US
Practice Address - Phone:972-270-5333
Practice Address - Fax:972-270-5335
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10235111NS0005X, 111NI0013X, 111NX0100X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NX0100XChiropractic ProvidersChiropractorOccupational Health